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... `*m/ <br /> November 24, 1997 yl�sjyz� <br /> JAN 2 6 1998 <br /> Public Works Director <br /> City of Stockton ENVIRONMENTAL HEALTH <br /> 425 N. EI Dorado St. Room 317 PERMIT/SERVICES <br /> Stockton, CA 95202 <br /> REVOCABLE PERMIT ACCEPTANCE FOR GROUNDWATER MONITORING WELLS: <br /> RP 97-21, 1267 COUNTRY CLUB BOULEVARD <br /> I/we accept Revocable Permit No. 97-21 issued by the Public Works Director of the City <br /> of Stockton on November 24, 1997 for the installation and maintenance of two (2) <br /> groundwater monitoring wells on City property. In accordance with the provisions of <br /> Section 3 of the Standard Conditions Applicable to Revocable Permits, I/we ask that the <br /> rights be conferred as outlined in the Standard Conditions Applicable to Revocable Permits <br /> adopted by Resolution No. 22,578 on December 5, 1960. <br /> As Required by Section 1(f) of the Standard Conditions Applicable to Revocable Permits, <br /> financial security in the sum of one thousand dollars, ($1,000.00), has been filed with the <br /> City Clerk of the City of Stockton in the form approved by the City Attorney and will be <br /> maintained in force during the life of the permit. <br /> (Signature) (Date) <br /> Name: D lk-QC <br /> Company: Q1,,o� <br /> Address: �o Box y Sowo .t \ UA 9,Sgrl�p <br /> Phone: T�Orl_R3� <br /> \revoc\acptfrm.Itr <br />